Sample Services

NPI #1568791911 in Longmont, Colorado

Provider Information

NPI Number: 1568791911
Entity Type: Organization
Organization Name: Sample Services
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 14, 2009
Last Updated: Nov 13, 2025

Practice Location

Address: 606 MOUNTAIN VIEW AVE
City: Longmont
State: Colorado
ZIP Code: 80501-2779
Phone: (303) 523-8057

Authorized Official

Name: MRS. CARMEN LOUISE SAMPLE, LCSW, LAC
Title: CEO
Phone: (720) 684-6309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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